Jafar Novruzov, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

406691 Issued in NY

Practice address

18 W 107TH St Apt 6D
New York, NY 10025-3334

Phone

(347) 994-5281

NPI assigned

Feb 3, 2025

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Mar 24, 2025 through Mar 24, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1738540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1932913951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 W 107TH ST APT 6D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100253334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 W 107TH ST APT 6D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100253334",
            "telephone_number": "347-994-5281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVRUZOV",
        "first_name": "JAFAR",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "U",
        "enumeration_date": "2025-02-03",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "406691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Alexia Novogratz
• Amory Vedran Novoselac, M.D.
• Yelizaveta Lvovna Novoselsky, MD PEDIATRICIAN
• Aleyda Martinez Novotny, LCSW
• Theodore Novotny, CRNA
• Polat Novruzov, MD
• Klaudia Maria Nowak-Capobianco
• Anna Nowak-Wegrzyn, M.D.
• Eugene John Nowak, M.D,
• Michael Nowak, M.D.

• Psychiatric/Mental Health Nurse Practitioner in New York, NY
• Providers in New York, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.